PR Interval - Wikipedia

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Appearance move to sidebar hide From Wikipedia, the free encyclopedia Period in electrocardiography

In electrocardiography, the PR interval is the period, measured in milliseconds, that extends from the beginning of the P wave (the onset of atrial depolarization) until the beginning of the QRS complex (the onset of ventricular depolarization); it is normally between 120 and 200 ms in duration. The PR interval is sometimes termed the PQ interval.

Interpretation

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Variations in the PQ interval can be associated with certain medical conditions:

• Duration
  • A long PR interval (of over 200 ms) indicates a slowing of conduction between the atria and ventricles, usually due to slow conduction through the atrioventricular node (AV node).[1] This is known as first degree heart block.[1] Prolongation can be associated with fibrosis of the AV node, high vagal tone, medications that slow the AV node such as beta-blockers, hypokalemia, acute rheumatic fever, or carditis associated with Lyme disease.[2][3]
  • A short PR interval (of less than 120ms) may be associated with a Pre-excitation syndromes such as Wolff–Parkinson–White syndrome or Lown–Ganong–Levine syndrome, and also junctional arrhythmia like atrioventricular reentrant tachycardia or junctional rhythm.
  • A variable PR interval may indicate other types of heart block.[citation needed]
• PR segment depression may indicate atrial injury[4] or pericarditis.[5]

See also

[edit]

• P wave

References

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1. ^ a b Clinical cardiac electrophysiology in clinical practice. Huang, David T.,, Prinzi, Travis. Berlin. December 2014. ISBN 978-1-4471-5433-4. OCLC 897466910.{{cite book}}: CS1 maint: location missing publisher (link) CS1 maint: others (link)
2. ^ Karacan M, Ceviz N, Olgun H (2012). "Heart rate variability in children with acute rheumatic fever". Cardiol Young. 22 (3): 285–92. doi:10.1017/S1047951111001429. PMID 21933462. S2CID 25845504.
3. ^ Costello, J. M.; Alexander, M. E.; Greco, K. M.; Perez-Atayde, A. R.; Laussen, P. C. (2009). "Lyme Carditis in Children: Presentation, Predictive Factors, and Clinical Course". Pediatrics. 123 (5): e835–41. doi:10.1542/peds.2008-3058. PMID 19403477. S2CID 25270378.
4. ^ Rao, B.N. Vijay Raghawa (2009). "Evolution of ECG Changes". Clinical Examinations in Cardiology. pp. 561–2. ISBN 978-81-312-0964-6.
5. ^ Pedley, D. K.; Brett, C; Nichol, N (2002). "P-R segment depression: An early diagnostic feature in acute pericarditis: A telephone survey of UK accident and emergency departments". European Journal of Emergency Medicine. 9 (1): 43–5. doi:10.1097/00063110-200203000-00010. PMID 11989495. S2CID 22919251.

v t e Physiology of the cardiovascular system
Heart	Cardiac output Cardiac cycle Cardiac output Heart rate Stroke volume Stroke volume End-diastolic volume End-systolic volume Afterload Preload Frank–Starling law Cardiac function curve Venous return curve Wiggers diagram Pressure–volume diagram Ultrasound Fractional shortening = (End-diastolic dimension End-systolic dimension) / End-diastolic dimension Aortic valve area calculation Ejection fraction Cardiac index Left atrial volume Heart rate Cardiac pacemaker Chronotropic (Heart rate) Dromotropic (Conduction velocity) Inotropic (Contractility) Bathmotropic (Excitability) Lusitropic (Relaxation) Conduction Conduction system Cardiac electrophysiology Action potential cardiac atrial ventricular Effective refractory period Pacemaker potential Electrocardiography P wave PR interval QRS complex QT interval ST segment T wave U wave Hexaxial reference system Chamber pressure Central venous Right atrial ventricular pulmonary artery wedge Left atrial ventricular Aortic Other Ventricular remodeling
Vascular system/hemodynamics	Blood flow Compliance Vascular resistance Pulse Perfusion Blood pressure Pulse pressure Systolic Diastolic Mean arterial pressure Jugular venous pressure Portal venous pressure Critical closing pressure Regulation of BP Baroreflex Kinin–kallikrein system Renin–angiotensin system Vasoconstrictors Vasodilators Autoregulation Myogenic mechanism Tubuloglomerular feedback Cerebral autoregulation Paraganglia Aortic body Carotid body Glomus cell

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